The original file is kept in the office. This is the text saved from it.
1 page
100%
People's Republic
of
Bangladesh
MRV Delivery Slip - DHAKA
E
nrolmcnt
Details
Counter
llepos1t Date
Call
l);1tc
/,ppl1ci:lt1on
; ypc
ll111pose
Of
V1s1t
M~ilnt's
Details
1
,r!-.t
Name I ast
Ni:lnlC
First Name on Visa
Last Name on Visa
Date
of
ll1rth
l'rcscnl Nat1onahty
Sex
Contact Number(Permanent)
Contact Numbcr(Bangladcsh)
l'crmancnt Address
r,ccJmss
in
Bt1ngladcsh
'/1s:1 Pr
lflll!Cl Date
Hcce1vcd Uy
Visa No
ENROL20
15/01 /202'1
30/01 /202'1 (If holiday, then next working day)
VISA EXTENSION
EMPLOYMENT
Passport Number
Number
of
Entries
Fee
AKIHISA
KISHIGAMI
AKIHISA
KISHIGAMI
14/08/1987
JPN - Japanese
MALE
80-3082-3752
80-3082-3752
Fee Receipt
Over Stay Fees
Please check your delfverv Jiilifi1ece;p1 Numbe,
if any mistak~.
OvEfr
ay
contact to the computer operator
within two working days.
No cornplaint
Will
be entertained
after two days.
206, 1CHOME,HARIMAYA-CHO, KOCHI-SHI,
KOCHI-KEN, JAPAN,.
6TH FLOOR, BUREAU OF MANPOWER
EMPLOYMENT AND TRAINING (SMET), 89/2
KAKRAIL, DHAKA-1000, BANGLADESH,.
1111111111111111111111111111111111111111
2601V0000558294
A3
TR5223043
MULTIPLE
USD
Operator's Signature
Applicant's Signature